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Godbey Chiropractic, P.C.

Details

Name: Godbey Chiropractic, P.C.
Jurisdiction: Alabama
Legal type: Domestic Professional Corporation
Status: Dissolved
Date of registration: 05 Jun 2003 (21 years ago) (Companies founded in June 2003)
Date of dissolution: 03 Mar 2020
Entity Number: 000-229-452
Register Number: 000229452
ZIP code: 36507 (Companies in Baldwin, 36507)
County: Baldwin
Place of Formation: Baldwin County
Principal Address: BAY MINETTE, AL
Registered Office Street Address: 110 MCCONNELL AVEBAY MINETTE, AL 36507
Authorized Capital: $1,000

Activities OPERATE A CHIROPRACTIC OFFICE

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1659496487 2007-03-20 2010-09-28 110 MCCONNELL AVE, BAY MINETTE, AL, 365074023, US 110 MCCONNELL AVE, BAY MINETTE, AL, 365074023, US

Contacts

Phone +1 251-937-7636
Fax 2519373574

Authorized person

Name DR. SANDRA D. GODBEY
Role PRESIDENT
Phone 2519377636

Taxonomy

Taxonomy Code 111N00000X - Chiropractor
License Number 1279
State AL
Is Primary Yes
Taxonomy Code 111N00000X - Chiropractor
License Number 0710
State AL
Is Primary No

Other Provider Identifiers

Issuer NPI
Number 1376656371
State AL
Issuer NPI
Number 1639282536
State AL

Agent

Name Role
GODBEY, SANDRA Agent

Incorporator

Name Role
GODBEY, SANDRA Incorporator
GODBEY, WILLIAM Incorporator

Date of last update: 02 Aug 2024

Sources: Alabama Secretary of State